编码合规审计员
Coding Compliance Auditor
在Memorial Hermann，我们致力于实现一个共同目标：提供高质量、高效的护理，同时为我们的社区每一位成员创造非凡的体验。当我们说社区中的每一位成员时，也包括我们的员工。我们知道，当员工感受到关怀、被倾听和被重视时，他们会受到激励，创造出超越期望的时刻，同时优先考虑安全、同理心、个性化和效率。如果您希望提升自己的职业生涯，并为我们的愿景做出贡献，即现在及未来几代人创造更健康的社区，我们希望您成为我们的团队一员。
职位概述
负责确保临床编码的准确性和完整性，从而实现适当的报销以及数据完整性和编码信息的验证，用于外部和内部事务。该职位通常向编码合规经理汇报。
职位描述
最低资格要求
教育：需要高中文凭或同等学历
证书/执照：
住院部 - 注册健康信息技术人员（RHIT）、注册健康信息管理员（RHIA）、认证编码专员（CCA）、认证编码专家（CCS）或认证住院编码员（CIC），由美国健康信息管理协会（AHIMA）或美国专业编码员协会（AAPC）颁发的编码证书。
门诊部 - 注册健康信息技术人员（RHIT）、注册健康信息管理员（RHIA）或由美国健康信息管理协会（AHIMA）或美国专业编码员协会（AAPC）颁发的相关编码证书。
经验/知识/技能：
- 需要四年相关医院编码或审计经验。
- 在一级创伤中心/学术教学机构进行编码/审计的经验优先。
- 精通ICD-10-CM和CPT编码原则和指南。
- 精通3M编码应用程序及解决编码编辑问题。
- 了解报销系统及相关法规和政策，涉及文档、编码和账单。
- 了解数据库应用和电子表格设计。
- 具备有效的口头和书面沟通能力。
主要职责
- 进行定期编码审计，并协调持续监控编码准确性，向编码人员提供持续反馈。
- 为所有编码人员制定并协调教育课程。
查看英文原文
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager.Job Description
Minimum Qualifications
Education: High school diploma or GED, required
Licenses/Certifications:
Inpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
Outpatient - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or relevant Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.
Experience / Knowledge / Skills:
- Four (4) years of relevant hospital coding or auditing experience required.
- Experience coding/auditing in a level 1 trauma facility/academic teaching facility strongly preferred
- Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines.
- Extensive knowledge of 3M Coding applications and resolving coding edits.
- Working knowledge of reimbursement systems and regulations and policies pertaining to documentation, coding, and billing.
- Knowledge of database applications and spreadsheet design.
- Effective oral and written communication skills.
Principal Accountabilities
- Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.
- Develops and coordinates educational sessions to all coding staff regarding documentation and accurate coding.
- Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
- Designs audit tools to monitor the accuracy of clinical coding.
- Keeps abreast of coding guidelines and reimbursement reporting requirements.
- Conducts trend analyses to identify patterns and variations in coding practices.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
- Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
- Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
- Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
- Other duties as assigned.
Employee Signature: Date:
Manager Signature: Date:
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles. Specific age groups that are served by this position are circled:
| Neonate | Infant | Pediatric | Adolescent | Adult | Adult/Geriatric |
Originally posted on Himalayas